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Changing Behavior towards
Sanitation
Learnings from Amarambedu
S.N.Srikanth
President
Rotary Club of Madras
RI Dist 3230, India
Chartered in 1929
3rd oldest Rotary Club in India
~ 250 members
Has produced 17 District Governors and 1 RI Director
Proud history of service to the community
Pioneer in PolioPlus
Rotary Club of Madras
India: Economic Superpower?
0
5
10
15
20
25
30
35
40
45
US$ trillion
China US India Japan Brazil Russia
GDP
2050
India: Superpower in Open Defecation
>50% of all Indians defecate in the open
< 10% in Bangladesh, Vietnam, Peru
A Sanitation Crisis
Open Sewage Contaminated Water
The Sad Result
• Diarrhoea, typhoid, cholera
• High infant mortality
• Children’s growth stunted
• Assaults on women after dark
Toilet subsidies have had little impact
US$ 2.5 bn doled out since 2001
Merely building toilets is not the solution
Behavioural change is essential
ROTARY CLUB OF MADRAS
Location:
Amarambedu Village,
60 km from Chennai
Pilot project to end open defecation
109 households, of which
just 1 had a toilet when project
commenced
Technique used:
A Variant of Community Led Total Sanitation
• Focus on Open Defecation Free (ODF) Communities as
outcome, not individual toilets
• Change behaviour by leveraging triggers such as shame
and disgust at open defecation(“triggering”)
• Promote community led effort, not handouts
From walk of shame to walk of dignity
Planning phase
(~ 7 days)
• Line up masons
• Get supply
chain in place
• Identify
triggers
Triggering phase
(~ 7 days)
• Trigger
community
• Set up sanitation
committee
• Decide on toilet
technology
• Set up revolving
fund
• Panchayat passes
resolution on total
sanitation
Construction phase
(~ 4 months)
• Community led
toilet construction
Sustainability phase
(~ 5 months)
• Achieve 100%
toilet coverage
• Facilitate
government
subsidy
• Panchayat
formulates ODF
By Laws
• Set up monitoring
Committees
What’s that stink?
Pre triggering: village heads
Pre Triggering
Villagers come forward to dig pits for toilets
immediately after triggering
Leach pits under construction
Toilet Enclosure
Completed toilet
Walk of Dignity
Pledge to keep village open defecation free
Learnings from Amarambedu
Approach behaviour change as a social marketing exercise
The 5 “P”s of Social Marketing
• Product
• Price
• Place
• Promotion
• Policy
Social Marketing: the use of marketing techniques to influence target
audience behaviours that will benefit society as well as the individual
Learnings from Amarambedu
Employ professionals in behaviour modification
Learnings from Amarambedu
Toilet subsidies often do more harm than good
Live with them in the short run, but lobby to eliminate
them except where they are genuinely required
Learnings from Amarambedu
Time saved and convenience, not improved health the
strongest motivator for toilet usage
Position your product accordingly
Learnings from Amarambedu
Red tape is stifling, but Rotary can be an
effective interface in dealing with government
bureaucracy
Recognitions & Scaling Up
• Indian Institute of Management, Ahmedabad
is doing a case study on Amarambedu
• Rotary Dist 3230 has made Sanitation a Focus
Project for 2015-16
• Discussions are on with the Government to
incorporate behaviour modification in
“Swachh Bharat”
Thank you

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Changing Behavior What Does It Mean and How Do We Do It (1 of 3)

  • 1. Changing Behavior towards Sanitation Learnings from Amarambedu S.N.Srikanth President Rotary Club of Madras RI Dist 3230, India
  • 2. Chartered in 1929 3rd oldest Rotary Club in India ~ 250 members Has produced 17 District Governors and 1 RI Director Proud history of service to the community Pioneer in PolioPlus Rotary Club of Madras
  • 3. India: Economic Superpower? 0 5 10 15 20 25 30 35 40 45 US$ trillion China US India Japan Brazil Russia GDP 2050
  • 4. India: Superpower in Open Defecation >50% of all Indians defecate in the open < 10% in Bangladesh, Vietnam, Peru
  • 5. A Sanitation Crisis Open Sewage Contaminated Water
  • 6. The Sad Result • Diarrhoea, typhoid, cholera • High infant mortality • Children’s growth stunted • Assaults on women after dark
  • 7. Toilet subsidies have had little impact US$ 2.5 bn doled out since 2001
  • 8. Merely building toilets is not the solution Behavioural change is essential
  • 9. ROTARY CLUB OF MADRAS Location: Amarambedu Village, 60 km from Chennai Pilot project to end open defecation 109 households, of which just 1 had a toilet when project commenced
  • 10. Technique used: A Variant of Community Led Total Sanitation • Focus on Open Defecation Free (ODF) Communities as outcome, not individual toilets • Change behaviour by leveraging triggers such as shame and disgust at open defecation(“triggering”) • Promote community led effort, not handouts
  • 11. From walk of shame to walk of dignity Planning phase (~ 7 days) • Line up masons • Get supply chain in place • Identify triggers Triggering phase (~ 7 days) • Trigger community • Set up sanitation committee • Decide on toilet technology • Set up revolving fund • Panchayat passes resolution on total sanitation Construction phase (~ 4 months) • Community led toilet construction Sustainability phase (~ 5 months) • Achieve 100% toilet coverage • Facilitate government subsidy • Panchayat formulates ODF By Laws • Set up monitoring Committees
  • 12. What’s that stink? Pre triggering: village heads
  • 14. Villagers come forward to dig pits for toilets immediately after triggering
  • 15. Leach pits under construction
  • 18.
  • 20. Pledge to keep village open defecation free
  • 21. Learnings from Amarambedu Approach behaviour change as a social marketing exercise The 5 “P”s of Social Marketing • Product • Price • Place • Promotion • Policy Social Marketing: the use of marketing techniques to influence target audience behaviours that will benefit society as well as the individual
  • 22. Learnings from Amarambedu Employ professionals in behaviour modification
  • 23. Learnings from Amarambedu Toilet subsidies often do more harm than good Live with them in the short run, but lobby to eliminate them except where they are genuinely required
  • 24. Learnings from Amarambedu Time saved and convenience, not improved health the strongest motivator for toilet usage Position your product accordingly
  • 25. Learnings from Amarambedu Red tape is stifling, but Rotary can be an effective interface in dealing with government bureaucracy
  • 26. Recognitions & Scaling Up • Indian Institute of Management, Ahmedabad is doing a case study on Amarambedu • Rotary Dist 3230 has made Sanitation a Focus Project for 2015-16 • Discussions are on with the Government to incorporate behaviour modification in “Swachh Bharat”